Note: The job is a remote job and is open to candidates in USA. OrthoIndy is an orthopedic healthcare organization providing bone, joint, spine, and muscle care across Central Indiana. The Patient Services Coordinator serves as the primary patient contact for scheduling appointments, tests, procedures, referrals, and medication refills while coordinating with providers, facilities, and patients and managing related insurance and medical record requirements.
Responsibilities
- Answers telephone calls and responds to related patient needs. Responsible for scheduling patient tests, injection procedures and follow up appointments. Accountable for managing test scheduling worklists, medication refill requests and task messages in EMR. Prioritizes 'test general', 'we call patient' and 'patient to calls us' work list to ensure timely scheduling of test. Responsible for internal and external referrals, including; test orders from OrthoIndy Physicians, online appointment request, and non-OrthoIndy physicians. Monitors test scheduling templates in practice management program to minimize gaps or delays in the schedule
- Serves as the liaison between the ordering provider, patient, and medical test facility
- Responsible for communicating time, date and location of a test and any specific instructions to the patient or patient representative. Responsible for scheduling follow up appointments per instructions on test orders
- Verifies patients insurance benefits and completes pre-certification requirements as instructed
- Maintains accurate records or statistics of weekly test totals as requested by department leadership
- Responds to test or procedure related questions from patient or patient representative. Obtains approval from ordering provider if test order needs amendments
- Completes test scheduling screener for all patients. Ensures patient awareness of any special requirements prior to test procedures
- Obtain CPT and Diagnosis codes from Physician, when missing or incomplete. Provides data collection and data entry. Responsible for sorting the "test general" worklist accurately and timely. Responsible for checking email and responding to requests from imaging staff when an issue arises. Responsible for working the "implant list" and obtaining necessary implant card information/medical records for imaging techs. Responsible for checking test scheduling voicemail throughout the day. Responsible for obtaining insurance authorizations on specific plans outlined by leadership
- The Medication Coordinator serves as the primary point of contact for assigned Physicians, private staff, and extenders for established patient inbound calls, voicemail, and online medication refill requests. Reviews and documents medication refill request multiple times per day, including checking messages left on the refill line or auto-generated refill emails from the OrthoIndy website. Follows established policies and protocols to process requests and obtain approval from the treating Physician. Requirements include chart triage, generating inspect reports, and reporting concerns to assigned Physician, documenting noted steps in Electronic Health Record (EHR)
- Obtains insurance prior authorization for mediation refills, including submitting necessary clinical records to support the medication's medical necessity. Reviews clinical documentation and medical history information in EHR in order failed conservative treatment and current diagnosis
Skills
- High school diploma or general education degree (GED) required
- 2-4 years of healthcare experience required
- EMR/PM application experience required
- Associate's degree (A.A.) or equivalent preferred
- 4-6 years preferred
Benefits
- Comprehensive benefits package included
- Training in the office for approximately 90 days, then 100% remote
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